| NPI | 1346215845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 213917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS009551L) |
| 207R00000X Internal Medicine (Licence: NY 213917-1) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2012-09-12 |